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interquartile range 5.2-16.5) across the 59 countries with information on pack years, ranging from 2.8 (2.1 to 3.4) in Ecuador to 31.5 (25.8 to 37.2) in Albania (fig 1, supplementary figure S2)

Outcome measures and effects Perceived message effectiveness (PME) and perceived effectiveness (PE) emerged as the primary outcome measures, typically assessed through validated scales 15,23